Hesi 225 Test Questions and Complete
Solutions Graded A+
A policy requiring the removal of acrylic nails by all nursing personnel was implemented 6 months ago.
Which assessment measure best determines if the intended outcome of the policy is being achieved.
a. Number of staff induced injury
b. Client satisfaction survey
c. Health care-associated infection rate.
d. Rate of needle-stick injuries by nurse - Answer: c. Health care-associated infection rate.
. The nurse is preparing to assist a newly admitted client with personal hygiene measures. The
client...the client's gag reflex. Which action should the nurse include?
A. Offer smalls sips of water through a straw
B. Place tongue blade on back half of tongue
C. Use a penlight to observe back of oral cavity
D. Auscultate breath sounds after client swallows - Answer: B. Place tongue blade on back half of tongue
The father of an 11-year-old boy.... - Answer: inform the father that it is most important to let the son
that nocturnal emissions are normal
The nurse explains to an older adult male the procedure for collecting a 24-hour urine specimen for
creatinine clearance.
A. Assess the client for confusion and reteach the procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-hour collection container
D. Discard the contents of the urinal - Answer: C. Empty the urinal contents into the 24-hour collection
container
A 54-year-old male client and his wife were informed this morning that he has terminal cancer. Which
nursing intervention is likely to be most
, A. Ask her how she would like to participate in the client's care
B. Provide the wife with information about hospice C. Encourage the wife to visit after painful
treatments are completed
D. Refer her to support group for family members of those dying of cancer - Answer: D. Refer her to
support group for family members of those dying of cancer
A client who has a body mass index (BMI) of 30 is requesting information on the initial approach to a
weight loss plan. Which action should the nurse recommend?
A. Plan low carbohydrate and high protein meals B. Engage in strenuous activity for an hour daily
C. Keep a record of food and drinks consumed daily
D. Participated in a group exercise class 3 times a week - Answer: C. Keep a record of food and drinks
consumed daily
The nurse assesses a client who has a nasal cannula delivering oxygen at 2 L/min. To assess for skin
damage related to the cannula, which areas should the nurse observe? (select all that applies)
A. Tops of the ear
B. Bridge of the nose
C. Around the nostrils
D. Over the cheeks
E. Across the forehead - Answer: A. Tops of the ear
C. Around the nostrils
D. Over the cheeks
. The nurse observes an unlicensed assistive personnel (UAP) who is providing a total bed bath for a
confused and lethargic client. The UAP is soaking the client's foot in a basin of warm water placed on the
bed. What action should the nurse take?
a. Remove the basin of water from the client's bed immediately
b. Remind the UAP to dry between the client's toes completely
c. Advise the UAP that this procedure is damaging to the skin
d. Add skin cream to the basin of water while the foot is soaking - Answer: b. Remind the UAP to dry
between the client's toes completely
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